CPT 78306
Global XXX ActiveBone imaging whole body
CPT 78306 Billing & Documentation Guide
CPT code 78306 (Bone imaging whole body) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.84, a non-facility practice expense RVU of 6.84, and a malpractice RVU of 0.08, a total non-facility RVU of 7.76 and facility RVU of 7.76. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $269.35, though rates vary from $225.68 to $362.02 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78306, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 78306 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 78306 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 78306
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.84 | 0.84 |
| Practice Expense RVU | 6.84 | 6.84 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 7.76 | 7.76 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78306
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $300.84 | $300.84 | $280.36 - $362.02 | 29 |
| Florida | $262.48 | $262.48 | $250.48 - $272.64 | 3 |
| Georgia | $249.25 | $249.25 | $235.03 - $263.47 | 2 |
| Illinois | $254.01 | $254.01 | $240.82 - $267.62 | 4 |
| Michigan | $246.35 | $246.35 | $239.66 - $253.03 | 2 |
| North Carolina | $242.92 | $242.92 | $242.92 - $242.92 | 1 |
| New York | $287.89 | $287.89 | $246.97 - $306.46 | 5 |
| Ohio | $239.34 | $239.34 | $239.34 - $239.34 | 1 |
| Pennsylvania | $254.95 | $254.95 | $240.31 - $269.58 | 2 |
| Texas | $255.61 | $255.61 | $238.44 - $272.19 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 78306
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78306 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0394T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0395T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0694T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
Frequently Asked Questions, CPT 78306
What does CPT code 78306 mean? +
CPT code 78306 represents: Bone imaging whole body. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 78306? +
The 2026 Medicare national average non-facility payment for CPT 78306 is $269.35. Rates range from $225.68 to $362.02 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78306? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 78306? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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